MRS. Susan Lee Wollenburg, PA-C

NPI #1164740478 in Omaha, Nebraska

Provider Information

NPI Number: 1164740478
Entity Type: Individual
Name: MRS. Susan Lee Wollenburg, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: May 11, 2010
Last Updated: Jan 21, 2015

Practice Location

Address: 988102 NEBRASKA MEDICAL CTR
City: Omaha
State: Nebraska
ZIP Code: 68198-8102
Phone: (402) 559-7200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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